The 988 Suicide and Crisis Lifeline: Challenges and Opportunities for Improved Mental Health Support
The 988 Suicide and Crisis Lifeline, launched in the summer of 2022, has received millions of calls, texts, and online messages. However, recent research indicates that its full potential remains untapped. This article delves into the study’s findings and explores the critical need for better training and resources to enhance the lifeline’s effectiveness.
Understanding the Current Situation:
The research, published in JAMA Network Open, reveals that individuals with severe psychological distress are more likely to be aware of the 988 lifeline and have used it. Still, only a quarter of respondents expressed a strong inclination to turn to 988 in the future during mental health crises. Additionally, less than a third of those with severe psychological distress who had previously used the lifeline were very likely to use it again.
The Study’s Perspective:
Dean Michael A. Lindsey of the New York University Silver School of Social Work, a co-author of the study, emphasizes the importance of understanding why individuals in serious distress might not return to the lifeline. He believes that this analysis could uncover the need for better training, increased resources, or alternative solutions.
Survey Methodology:
The study is based on a nationally-representative survey involving approximately 5,000 participants in June. The level of psychological distress was determined through self-reported responses to a standardized questionnaire. Respondents were categorized as “very likely” to use the lifeline if they rated their likelihood as at least 6 on a 7-point scale.
The Evolution of the 988 Lifeline:
The 988 lifeline was launched in July 2022, transitioning from the National Suicide Prevention Lifeline to a broader focus with a simpler dial code. To date, it has received around 6.5 million calls, texts, and chats, including more than 500,000 in September alone. However, the success of the lifeline goes beyond call volume metrics.
The Experts’ Perspective:
In the face of a significant mental health crisis, experts emphasize the critical nature of the 988 lifeline. Monica Johnson, director of the 988 & Behavioral Health Crisis Coordinating office, calls it “the most transformative initiative in behavioral health care.” The importance of getting it right is underscored.
The Vision for Success:
Success for the 988 lifeline involves active management of acute crises and the facilitation of connections to broader mental health resources. The lifeline should provide active supportive listening, assessments, and serve as a gateway into a supportive system. Follow-up care is a vital component of this success.
Challenges in Accessing Support:
The study reveals that individuals experiencing psychological distress are also less likely to seek support from other mental health sources, including psychologists, psychiatrists, friends, and family members. This highlights the lifeline’s role in leaving people with a sense of hope and accessible resources.
The Call for Better Training:
The study’s authors emphasize the need for improved training of mental health professionals. They note that the lifeline’s expanded scope requires a different approach and skills to effectively address a wide array of challenges faced by callers.
Takeaway:
The 988 Suicide and Crisis Lifeline plays a crucial role in addressing America’s growing need for mental health services. To maximize its potential, addressing the reasons behind low return usage is essential. Improved training and resources can help ensure that the lifeline becomes a cornerstone in the mental health support system.
